Individual provider Active NPI

Benjamin Shahabi-Azad, MD

  • Physical Medicine & Rehabilitation Physician
  • El Paso, TX
National Provider Identifier
1821483660
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
R4321 Issued in TX
Practice address
1395 George Dieter Dr
El Paso, TX 79936-7499
Phone
(915) 298-7222
NPI assigned
Mar 30, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physical Medicine & Rehabilitation Physician 208100000X R4321 TX Primary

Addresses

Primary practice location

1395 George Dieter Dr
El Paso, TX 79936-7499

Mailing address

9318 Hoke Dr
San Antonio, TX 78254-2224
Phone (915) 203-8743

Other practice location 1

5323 Harry Hines Blvd
Dallas, TX 75390-9055
Phone (214) 648-2240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190722001937 TX Practitioner - Physical Medicine and Rehabilitation 5294061701 Reassigns benefits to 1 organization
I20240604001366 NM Practitioner - Physical Medicine and Rehabilitation 5294061701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Texas Southwestern Medical School at Dallas, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sun City Neuromuscular Rehabilitation PLLCGroup PAC ID 4385970896, 4 clinicians

Practice addresses (Care Compare)

4441 E Lohman Ave
Las Cruces, NM 88011-8267
Phone (915) 351-4441

4451 E Lohman Ave
Las Cruces, NM 88011-8267
Phone (915) 351-4441

4815 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 298-7222

Hospital & facility affiliations

  • Armonia Home Health Care Agency LLC Home health agency, El Paso, TX, CCN 747647
  • Grandview Health at Home Home health agency, El Paso, TX, CCN 679034
  • Tender Care Home Health Home health agency, El Paso, TX, CCN 679522
  • TLC Home Healthcare Services Inc Home health agency, El Paso, TX, CCN 747614
  • The Hospitals of Providence - East Campus Hospital, El Paso, TX, CCN 670047
  • El Paso Rehabilitation Hospital Inpatient rehabilitation facility, El Paso, TX, CCN 673083
  • Rehabilitation Hospital of Southern New Mexico,Inc Inpatient rehabilitation facility, Las Cruces, NM, CCN 323032

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sun City Neuromuscular Rehabilitation PLLC Physical Medicine & Rehabilitation CurrentSince Apr 19, 2019 Accepting new patients
Rehabilitation Hospital of Southern New Mexico, Inc Past Accepting new patients
Mentis Neuro El Paso, LLC Past Accepting new patients

Locations

4441 E Lohman Ave
Las Cruces, NM 88011
Phone (505) 521-6400

4451 E Lohman Ave
Las Cruces, NM 88011
Phone (505) 521-6400

14300 Pebble Hills Blvd
El Paso, TX 79938
Phone (915) 955-9998

3280 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 577-6000

1600 E Cliff Dr
El Paso, TX 79902
Phone 80053261517044

2000 Transmountain Rd
El Paso, TX 79911
Phone (915) 247-8893

2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

1625 Medical Center Dr
El Paso, TX 79902
Phone (915) 577-7746

4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000

2230 Joe Battle Blvd
El Paso, TX 79938
Phone (469) 351-3321

12660 Pebble Hills Blvd
El Paso, TX 79938
Phone (888) 796-8996

1395 George Dieter Dr
El Paso, TX 79936
Phone (915) 298-7225

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1821483660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9318 HOKE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782542224",
            "telephone_number": "915-203-8743",
            "fax_number": "210-855-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 GEORGE DIETER DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367499",
            "telephone_number": "915-298-7222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5323 Harry Hines Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "753909055",
            "country_code": "US",
            "telephone_number": "214-648-2240",
            "fax_number": "214-648-9207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAHABI-AZAD",
        "first_name": "BENJAMIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-30",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "R4321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.